LOGAN ROLES

Physician Assistant

NPI: 1720887169Individual

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

5576(OK)

Contact & Hours

Address: 1102 W MACARTHUR ST
SHAWNEE, OK 74804
Phone: (405) 273-2270

Quick Facts

NPI: 1720887169
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

Are you this provider?

Claim Your Profile